- Teaching for individuals should seek to be more streamlined so that there will be a higher number of available technicians to perform these procedures after the pandemic
- Additionally, since water aided-techniques are not widely taught, they should be added to more teaching curriculums, but also may be able to be self-taught through some resources located in the paper itself


Ohio State University, Columbus

- This paper seeks to outline some of the changes that must be made for colonoscopy during the COVID-19 era along with discussing the resuming of training work for students after the COVID-19 pandemic
- This paper explains that while endoscopic procedures received the greatest effect during the COVID-19 pandemic, colonoscopy procedures have also been hit and changes to procedures must occur in order for them to continue safely


Covid-19 pandemic impact on colonoscopy service and suggestions for managing recovery

Cadoni, S., Ishaq, S., Hassan, C., Bhandari, P., Neumann, H., Kuwai, T., Uedo, N., Parra-Blanco, A., Mulder, C., Binmoeller, K. F., & Leung, F. W. (2020). Covid-19 pandemic impact on colonoscopy service and suggestions for managing recovery. Endoscopy international open, 8(7), E985–E989. https://doi.org/10.1055/a-1196-1711

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314656/

- One of the major changes which this paper seeks to make is to encourage the use of non-sedative or low sedation procedures with benzodiazepines and opiates
- This change in sedation should also be coupled with an increase in water-aided examination which can be performed with minimal sedation
- Also using more minimally sedative procedures would allow for patients to have faster turn around times and would minimize possibility of infection during or after procedure
- Quality of colonoscopy care also cannot fall during the COVID-19 pandemic as there are an abundance of high risk patients which require this procedure
- Type of colonoscopy procedure should also be determined on a patient-by-patient basis as to what will seek to minimize infection risk, however water-aided technique is encouraged

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